The mission of the Division of Long Term Services and Supports (LTSS) is "To provide opportunities to enable older South Dakotans and adults who are disabled to live independent, meaningful, and dignified lives while maintaining close family and community ties by promoting long term services and supports to prevent or delay premature or inappropriate institutionalization." LTSS provides home and community-based service options to individuals 60 years of age and older and 18 years of age and older with disabilities. In accordance with the Older Americans Act and other applicable state and federal laws, LTSS provides or purchases services for South Dakotans who meet program eligibility. Located in each Long Term Services and Supports Field Offices are Long Term Services and Supports Specialists who provide information and referral services, assistance to access in-home and community-based services, needs assessments, ongoing case management, care plan development and adult protective services to individuals living in South Dakota communities. South Dakota has a variety of providers available throughout the state for home and community based services , assisted living center services , and nursing facility services .

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